1. Physical Activity for Youth with Physical Disabilities John Foley, PhD SUNY Cortland 1 1

2. Overview Physical Activity Sedentary Behavior APE Group Visits –Video Games –Active Kids –Support 2

3. Percent of Population by Age and Disability 3 U.S. Dept. of HHS (2005)

4. 4 4

5. Percent of youth whose habitual physical activity levels were classified as active 5 Longmuir, P. E., & Bar-Or, O. (2000).

6. Physics Nature tends to go to a lower energy state Equilibrium –a property attributed to a particular state of a system

7. Equilibrium Stable Unstable Metastable

8. Children with Physical Disabilities - TV/Screen time AgeRank 6-82 9-111 > 121 8 Law et al., (2006)

9. Wijndaele, K. et al. (2010)

10. Health Related Fitness Fundamental Motor Skills Body Fatness Foley et al., 2008 Physical Activity & Play Byers & Walker, 1995

11. 3-A’s Attention Affiliation Affect 11 Burdette & Whitaker(2005)

12. Adapted Physical Educators Physical Education is considered a direct service under the definition of Special Education as outlined in IDEA and therefore must be provided to students with disabilities.

13. Collaborate Advocacy After School Programs Disability Sport Inclusive playgrounds Public Health Policy

14. Thank you

15. Group Medical Visits Formal Topic Promoting physical activity Working with schools Feeding and Nutrition Family/Sibling Issues Behavioral concerns Sleep Informal Discussion In Collaboration w/SUNY Upstate

16. Increase in weekly PA Sometimes Active Often Active – Very Often Active Often active Quite Often Active 16

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18. Modifying Games for Students with Disabilities EyeToy Camera

19. Sensor & Screen Level (XaviX) Eye level screen

20. Wii Tennis

21. Wii Boxing

22. EyeToy Antigrav

23. Lessons learned so far High Satisfaction with Care Group Visits are Feasible Space-Personnel-Billing (these are inter-related!) Privacy/HIPAA is not a barrier Age range among patients is a plus Families will travel to participate

24. 60% have their own computer 75% have their own cell phone 97% of teens play computer games 93% use the internet -90% use cloud computing 50% have a DVR in the house Pew Internet (2009) Current trend in teens

25. “The goal is to give all kids the ability to be connected 24/7” US Dept of Ed

26. Incidental Physical Activity at the Foley’s

27. Thank You 27